JAMAL WILSON NPI 1972112217

NPI Information

NPI: 1972112217
Provider Name: JAMAL WILSON
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5408 HARBOURWATCH WAY APT 303
MASON, OH
ZIP 45040
Phone: (248) 755-5301
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Jamal Wilson is an addiction (substance use disorder) counselor in Mason, OH. Jamal Wilson NPI is 1972112217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5408 HARBOURWATCH WAY APT 303
MASON, OH
ZIP 45040-392
Phone: (248) 755-5301

The enumeration date for this NPI number is 7/22/2020 and was last updated on 1/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		33.024863	OHIO	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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